Individual provider Active NPI

Beverly D Miller, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1457476244
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0114441 Issued in NM
Practice address
5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Phone
(505) 503-6838
Fax
(505) 369-1292
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0114441 NM Primary

Addresses

Primary practice location

5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524

Mailing address

5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Phone (505) 503-6838

Other identifiers 1

IdentifierTypeStateIssuer
39325521MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004611 NM Practitioner - Mental Health Counselor 3476088998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bosque Mental Health Associates IncGroup PAC ID 7719262492, 14 clinicians

Practice addresses (Care Compare)

5310 Homestead Rd NE
Suite 300
Albuquerque, NM 87110-1524
Phone (505) 503-6838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque Mental Health Associates, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

5310 Homestead Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 503-6838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1457476244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-503-6838",
            "fax_number": "505-369-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-503-6838",
            "fax_number": "505-369-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BEVERLY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0114441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39325521",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.